A client calls the clinic and tells the nurse she has nausea and breast tenderness and is afraid she might be pregnant. She is taking oral contraceptives and has taken them exactly as prescribed. What is the best response by the nurse?
1. Tell the client to purchase an at-home pregnancy test to determine pregnancy.
2. Tell the client to come in for an evaluation and to discuss birth control.
3. Tell the client that these symptoms are side effects of oral contraceptives.
4. Verify with the client that she has taken all her pills just as prescribed.
Correct Answer: 3
Rationale 1: Telling the client to purchase an at-home pregnancy test will only increase her anxiety.
Rationale 2: There is no reason for the client to come in for an evaluation at this time.
Rationale 3: It is important for the nurse to educate the client about the side effects of oral contraceptives.
Rationale 4: Verifying how the pills were taken is unnecessary; the client said she took them as prescribed.
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